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ModerateCardiologyHeart failure-ivabradine useus-abimus-usmle-step-2

A 60-year-old with new HFrEF (EF 32%) on ARNI, beta-blocker, MRA, SGLT2i remains in sinus rhythm HR 88 bpm, BP 110/68, on maximally tolerated beta-blocker, still NYHA II-III. Resting heart rate persistently ≥70 bpm. What add-on may reduce HF hospitalisations?

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